Please complete one survey per household. This survey will take approximately 3 minutes to complete.

Dear Parent or Guardian,

Our school district is seeking your input regarding the need to begin or continue the Extended School Program (ESP) in our community. Extended school programs provide the resources necessary to open our school buildings earlier and keep them open later as well as provide summer school programs. The major reasons for extending the school day include: providing students assistance with homework, providing students safe places to stay while their parents are still at work, and providing students enhanced learning opportunities in reading, STEAM (science, technology, engineering, art, and math), service learning and career exploration/work-based learning.

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* 2. Current grade level of child(ren) in school?

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* 3. How would you describe our local need for the Extended School Program (ESP)?

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* 4. How would you rank our needs for providing before and after school programs?

  Greatest need Secondary need Least need
To provide students enhanced learning opportunities in reading, math, science, technology, service learning and career exploration/work-based learning.
To provide students with homework assistance to earn better grades.
To provide working parents safe places for their children when school schedules do not match work schedules.

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* 5. At what grade levels are before and after school programs most important?

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* 6. How likely would your family make use of the ESP?

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* 7. If your family is likely or highly likely to participate in the extended school program, how many of your children would attend?

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* 8. What are the current grade levels of your child(ren) who would attend (check all that apply)?

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* 9. How likely is it that your children would make use of a summer program?

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* 10. Please indicate the days and times that you would like for your child(ren) to be able to attend activities.  (Check all that apply.)

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* 11. How would your child(ren) go home after the program activities end? Would he or she need transportation?

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* 12. How would you rank our needs for providing services to adult family members?

  Greatest need Secondary need Least need
GED preparation or literacy classes
Career readiness classes (CNA, CDL, welding, computer)
Parenting classes

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* 13. How likely would your family make use of classes for adults?

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* 14. Comments or suggestions:

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